Individual
MS. TINA MARIE PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-BC
Contact information
Practice address
4711 CENTERLINE DR STE 100, KNOXVILLE, TN 37917-1405
(865) 647-3260
(865) 647-3279
Mailing address
4711 CENTERLINE DR STE 100, KNOXVILLE, TN 37917-1405
(865) 647-3260
(865) 647-3279
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
94868
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3346503
—
TN
Enumeration date
11/08/2005
Last updated
09/02/2020
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